Pharm: Module 3 Unit Test

After teaching a client about the prescribed anti-infective therapy for their UTI, the nurse determines that the teaching was successful when the client states which statement? Select all that apply. "I can stop the drug once my symptoms disappear." "I can take the medication with food or meals." "I can drink pineapple juice to keep things acidic." "I'll call my primary health care provider if I don't feel better in about 3 days." "I should avoid drinking any beverages that contain alcohol."

"I can take the medication with food or meals." "I'll call my primary health care provider if I don't feel better in about 3 days." "I should avoid drinking any beverages that contain alcohol."

A client who is prescribed phenazopyridine is distressed seeing reddish-orange colored urine. Which response by the nurse would be most appropriate? "We will have to get a specimen for a urinalysis." "I will notify the primary health care provider immediately." "You will need to increase your fluid intake." "This discoloration is a normal result of the medication."

"This discoloration is a normal result of the medication."

A client has a levonorgestrel implant contraceptive system inserted. The nurse understands that this type of contraceptive provides protection for how long? 1 year 3 years 5 years 7 years

5 years

A client is administered insulin lispro at 8 AM. The nurse would be alert for signs and symptoms of hypoglycemia at about which time? 8:15 AM. 9 AM. 10 AM. 11 AM.

9 AM

After teaching a class to a group of nursing students about immunity, the instructor determines that the teaching was successful when the students correctly choose which situation(s) as an example of passive immunity? Select all that apply. An individual who is exposed to chickenpox for the first time and develops the disease Administration of botulism immune globulin to an infant An individual develops pertussis after exposure from a sibling Administration of Crotalidae polyvalent immune fab for the treatment of a rattlesnake bite Administration of the first dose of rubella vaccine to an infant

Administration of botulism immune globulin to an infant Administration of Crotalidae polyvalent immune fab for the treatment of a rattlesnake bite

A female client with inoperable advanced breast cancer is prescribed methyltestosterone. The nurse would be alert for the development of which adverse reactions? Select all that apply. Amenorrhea Acne Facial hair growth Somnolence Mania

Amenorrhea Acne Facial hair growth

A nurse in the emergency department is assessing a client who has been bitten by a coral snake. Which drug does the nurse predict the client will be given as treatment? Antivenin Toxoid Vaccine Immune globulins

Antivenin

The nursing instructor is teaching a session explaining the various drugs used to treat urinary tract infections. The instructor determines the session is successful when the students correctly choose which organ as most often affected by infections? Bladder Kidney Urethra Ureters

Bladder

A nursing instructor is teaching a group of students about estrogens and their use. The instructor determines that the teaching was successful when the students correctly choose which statements as true concerning estrogen? Select all that apply. Changes in lipids levels occur with the use of estrogens. Progestin use is recommended when estrogen is used after a hysterectomy. Estrogen replacement therapy (ERT) helps to lessen the changes to the aging tissues. Estrogens increase a woman's risk for gallbladder disease. The use of estrogens is associated with relatively few adverse reactions.

Changes in lipids levels occur with the use of estrogens. Estrogen replacement therapy (ERT) helps to lessen the changes to the aging tissues. Estrogens increase a woman's risk for gallbladder disease.

A client's history reveals that the client is experiencing intestinal gas. Which medication would the nurse expect the primary health care provider to prescribe? Select all that apply. Charcoal Omeprazole Ranitidine Odansetron Simethicone

Charcoal Simethicone

After teaching a group of nursing students about corticosteroids, the instructor determines that the teaching was successful when the students correctly choose which drug as a mineralocorticoid? Hydrocortisone Betamethasone Triamcinolone Fludrocortisone

Fludrocortisone

The nurse is preparing to administer insulin glargine to a client. Which actions will the nurse prioritize when preparing the insulin? Select all that apply. Check the expiration date on the vial. Shake the vial vigorously. Check the health care provider's orders for the type and dosage of insulin. Remove all air bubbles from the syringe barrel. Mix with short-acting insulin prior to administration.

Check the expiration date on the vial. Check the health care provider's orders for the type and dosage of insulin. Remove all air bubbles from the syringe barrel.

A young couple has come to a fertility clinic seeking assistance. Which medication does the nurse anticipate the health care provider will prescribe to help increase the chances of the woman becoming pregnant? Select all that apply. Vasopressin Clomiphene Octreotide Cetrorelix Gonadotropin

Clomiphene Cetrorelix Gonadotropin

A nurse is caring for a client with iron deficiency anemia who is receiving iron supplements. What information should the nurse point out in the teaching plan for this client? Frequency of urination will increase. Soreness of throat might occur. Itching of throat might occur. Color of stools will become darker.

Color of stools will become darker.

The nurse is teaching a client about ferrous that has been prescribed for anemia. The nurse determines the session is successful when the client correctly chooses which potential adverse reaction(s) to watch for? Select all that apply. Constipation Fluid retention Nausea Fatigue Dark stools

Constipation Nausea Dark stools

A nurse is teaching a client about metoclopramide. The nurse determines that the teaching session was successful when the client correctly chooses which signs or symptoms to report to the health care provider? Select all that apply. Difficulty swallowing Uncontrolled tongue movements Muscle laxity Shuffling gait Diarrhea

Difficulty swallowing Uncontrolled tongue movements Shuffling gait

A health care provider has prescribed omeprazole for a client. The nurse will carefully monitor the client for increased adverse reactions if the client is also prescribed which additional medications? Select all that apply. Lithium Digoxin Diazepam Warfarin Ketoconazole

Digoxin Diazepam Warfarin Ketoconazole

After teaching a group of nursing students about drugs that affect the uterus, the instructor determines that the teaching was successful when the students correctly choose which drug as being used for cervical ripening? Terbutaline Nifedipine Dinoprostone Misoprostol

Dinoprostone

A client is receiving methylergonovine. After administering the drug, the nurse would carefully monitor the client for which potential adverse reactions? Select all that apply. Dizziness Hypoglycemia Increase in blood pressure Vomiting Hypotension

Dizziness Increase in blood pressure Vomiting

After teaching a group of nursing students about laxatives, the instructor determines that the teaching was successful when the students correctly choose which drug as producing the laxative effect by promoting water retention and softening the stool? Docusate Methylcellulose Bisacodyl Lactulose

Docusate

What additional warnings or risks should the nurse include in the teaching plan of a client receiving estrogen? Diabetes mellitus. Endometrial cancer. Parkinson's disease. Cardiac valve dysfunction.

Endometrial cancer.

A nurse is assessing a client's medical record and determines that the client has naturally acquired active immunity. Which example(s) would most likely apply? Select all that apply. Experiencing chickenpox results in immunity to the disease Administration of the varicella vaccine protects against varicella After recovering from pertussis, the client demonstrates immunity against repeat exposures Faithfully reporting to the clinic for the influenza vaccine every year Administering the rubella vaccine at routine well-baby visits

Experiencing chickenpox results in immunity to the disease After recovering from pertussis, the client demonstrates immunity against repeat exposures

If the nurse has to clean up a spill of antineoplastic drug, which of the following personal protective equipment should be worn? Select all that apply. Gloves Safety goggles Gown Chemical spill boots NIOSH-approved respirator

Gloves Safety goggles Gown NIOSH-approved resp

After administering insulin detemir to a client with diabetes, the nurse suspects that the client is developing hypoglycemia based on which assessment findings? Select all that apply. Increased thirst Increased urination Headache Confusion Diaphoresis

Headache Confusion Diaphoresis

A nurse is teaching a client about the prescribed sulfasalazine. The nurse determines the teaching session is successful when the client correctly chooses which adverse reactions to be aware of when taking this medication? Select all that apply. Alopecia Headache Reduced sperm count Tremors Bone pain

Headache Reduced sperm count

The nurse is preparing to administer epoetin alfa to a client. The nurse prepares to administer this medication with caution if which disorder(s) is noted in the client's medical record? Select all that apply. Diabetes Renal failure History of seizures Congestive heart failure Hypotension

History of seizures Congestive heart failure

The nurse is completing a health history on a client experiencing menopause. What assessment findings indicated menopause? Select all that apply. Hot flashes Mood changes Sleep problems Painful intercourse Increased heart rate

Hot flashes Mood changes Sleep problems Painful intercourse

A nurse is preparing to teach a client about the prescribed testosterone. Which potential adverse reactions should the nurse point out to the client? Select all that apply. Impotence Fluid imbalance Male-pattern baldness Somnolence Mania

Impotence Fluid imbalance Male-pattern baldness

A student nurse is preparing a presentation which will illustrate the action of thyroid hormones. The student will explain that thyroid hormones are principally responsible with initiating which reactions in the body? Select all that apply. Increased heart rate Decreased respiratory rate Increased body temperature Increased cardiac output Decreased oxygen consumption

Increased heart rate Increased body temperature Increased cardiac output

A client is receiving corticosteroids and digoxin. The nurse will carefully monitor the client for which potential adverse reaction? Increased risk for toxicity Decreased muscle function Increased risk of hyperkalemia Decreased serum corticosteroid levels

Increased risk for toxicity

A nurse is preparing to administer a drug that is used to prevent uterine contractions. Which drug might the nurse be preparing to administer? Select all that apply. Misoprostol Indomethacin Terbutaline Oxytocin Dinoprostone

Indomethacin Terbutaline

After teaching an in-service presentation to a group of nurses about diabetes and insulin, the presenter determines that the session was successful when the group correctly chooses which insulins as rapid-acting? Select all that apply. Insulin aspart Isophane insulin suspension Insulin glargine Insulin detemir Insulin glulisine

Insulin aspart Insulin glulisine

A nurse is preparing to administer a long-acting insulin to a client. Which insulin might the nurse administer? Select all that apply. Insulin aspart Insulin lispro Insulin glargine Insulin detemir Insulin glulisine

Insulin glargine Insulin detemir

A nurse is caring for a client who is prescribed vincristine. The client asks the nurse about how the drug acts. Which of the following would the nurse integrate into response?

Interference with amino acid production in the S phase

The nurse is assessing a client who reports symptoms of upset stomach and chronic diarrhea. The nurse concludes the client should be administered which antacids cautiously? Select all that apply. Calcium carbonate Magnesium hydroxide Magnesium oxide Aluminum hydroxide Sodium bicarbonate

Magnesium hydroxide Magnesium oxide Sodium bicarbonate

The nursing instructor is teaching a session examining the various drugs used to treat ulcerative colitis. The instructor determines the session is successful when the students correctly choose which drugs that are aspirin-like compounds with anti-inflammatory properties? Select all that apply. Mesalamine Bisacodyl Magnesium oxide Polyethylene glycol Olsalazine

Mesalamine Olsalazine

The nursing instructor is teaching a class on the various hormones in the body. The instructor determines the class is successful when the students correctly choose which hormones as products of the adrenal gland? Select all that apply. Growth hormone Mineralocorticoids Glucocorticoids Prolactin Oxytocin

Mineralocorticoids Glucocorticoids

A nurse is preparing to teach a client about levothyroxine. The nurse will point out which factors about this drug to the client during the teaching session? Select all that apply. Equivalent to all other thyroid hormone replacement drugs More uniform potency than other thyroid hormone replacement drugs Twice-daily dosing necessary Relatively inexpensive Less frequent lab monitoring required

More uniform potency than other thyroid hormone replacement drugs Relatively inexpensive

A group of nursing students are analyzing the various categories of upper gastrointestinal system drugs. The instructor determines the session is successful when the students correctly choose which drugs as examples of a proton pump inhibitor? Select all that apply. Nizatidine Omeprazole Esomeprazole Sucralfate Misoprostol

Omeprazole Esomeprazole

The nurse monitoring a client receiving insulin glulisine notices the client has become confused, diaphoretic, and nauseated; and has a blood glucose of 60 mg/dL. Which emergent treatment would the nurse most likely give? Select all that apply. Orange or other fruit juice Glucose tablets Insulin glargine Hard candy Insulin detemir

Orange or other fruit juice Glucose tablets Hard candy

A nursing instructor is teaching a session illustrating the various forms of immunity utilized by the human body. The instructor determines the session is successful when the students correctly choose which type of immunity as developing after the use of ready-made antibodies from animals? Active immunity Cell-mediated immunity Humoral immunity Passive immunity

Passive immunity

A client with a UTI is experiencing dysuria. The nurse would expect which drug to be prescribed? Nitrofurantoin Oxybutynin Sulfamethoxazole/trimethoprim Phenazopyridine

Phenazopyridine

A 31-year-old pregnant woman has been prescribed a tocolytic drug. The nurse will explain to the client that this drug class is used primarily for which reason? Antepartum hypertension Preterm labor Postpartum hemorrhage Protracted labor

Preterm labor

A nurse prepares to administer oxytocin intramuscularly to a client in the third stage of labor. The nurse will explain to the client this is related to which reason? Select all that apply. Production of uterine contractions Stimulation of milk ejection Control of postpartum bleeding Initiation of labor Lessen hemorrhage potential

Production of uterine contractions Control of postpartum bleeding Lessen hemorrhage potential

The nurse is preparing to administer vitamin B12 to a client. The nurse would administer the drug cautiously if the client had which condition noted in the medical record? Pulmonary disease Hypertension Heart disease Seizures

Pulmonary disease

A client is prescribed cyanocobalamin following gastric bypass surgery. The nurse will prioritize which finding on the ongoing assessment? Urticaria Dyspnea Pulmonary edema Joint pain

Pulmonary edema

A nurse is educating a client receiving sulfamethoxazole/trimethoprim about common dermatologic adverse reactions. The nurse determines the session is successful when the client correctly chooses which reactions to watch for? Select all that apply. Rash Stevens--Johnson syndrome Photosensitivity Exfoliative dermatitis Pruritus

Rash Photosensitivity Pruritus

A nurse has administered the antacid calcium carbonate to a client. Which adverse reactions should the nurse monitor the client for during the ongoing assessment? Select all that apply. Rebound hyperacidity Anorexia Headache Dehydration Confusion

Rebound hyperacidity Headache Confusion

A client has been prescribed a transdermal patch of estrogen. Which adverse effect should be included in the teaching plan about the medication? Pain at the injection site Irritation of the oral pharynx Redness at the application site Edema and rhinitis of the nose

Redness at the application site

The caregivers of a child who is recovering from chickenpox tell the nurse the child was given aspirin for a fever. The nurse would prioritize the assessment for indications of which adverse reaction? Lymphoma Angioneurotic edema Acute renal failure Reye syndrome

Reye syndrome

A client comes to the emergency department and reports extreme pain. Physical assessment reveals an erection. When obtaining the client's medication history, which drug would the nurse expect the client to report using? Tamsulosin Terazosin Tadalafil Tolterodine

Tadalafil

The nursing instructor is teaching a session on the thyroid and its hormones. The instructor determines the class is successful when the students correctly choose which hormones as originating in the thyroid gland? Select all that apply. Thyroid-stimulating hormone Adrenocorticotropic hormone Thyroxine Prolactin Tri-iodothyronine

Thyroxine Tri-iodothyronine

A client presents to the clinic with vague reports of not feeling well. Which assessment findings would lead the nurse to suspect the client is abusing anabolic steroids? Select all that apply. Uncontrolled rage Jaundice Inability to concentrate Hyperglycemia Dehydration

Uncontrolled rage Jaundice Inability to concentrate

A nurse educating a 40-year-old client on oral contraceptives should strongly caution the client not to smoke. The nurse should point out that smoking increases the risk of which adverse events? Select all that apply. Venous thromboembolism Pulmonary hypertension Hemorrhagic stroke Myocardial infarction Atrial fibrillation

Venous thromboembolism Hemorrhagic stroke Myocardial infarction

A client presents to the clinic for a routine visit. The nurse suspects the client is experiencing hypothyroidism based on which assessment findings? Select all that apply. Elevated body temperature Weight gain Bradycardia Hypertension Sleepiness

Weight gain Bradycardia Sleepiness

A group of nursing students are preparing to assess clients for potential thyroid disorders. The mentor determines the students are well prepared when they correctly point out which assessment findings could indicate hyperthyroidism? Select all that apply. Low body temperature Weight loss Tachycardia Hypotension Sleepiness

Weight loss Tachycardia